Walter Duane Irvin, lpn
Licensed Practical Nurse in Portsmouth, OH. Individual provider (NPI-1).
NPI number1003100975
StatusActive
Last updated in NPPESJun 8, 2011
Details
- NPI
- 1003100975
- Entity type
- Individual (NPI-1)
- Name
- Mr. Walter Duane Irvin
- Credential
- lpn
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 8, 2011
- Last updated
- Jun 8, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN.142391-M-IV | OH | Yes |
Practice location
410 Campbell AvePortsmouth, OH 45662-4465
Phone 740-354-9051
Mailing address
410 Campbell AvePortsmouth, OH 45662-4465
Phone 740-354-9051
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All 103 Licensed Practical Nurse providers in Portsmouth · All 2,355 providers in Portsmouth
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